Comprehensive metabolic panel at Springfield Memorial Hospital. CPT 80053.
What Springfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$243cash price (self-pay)
$243list price
$4.76–$243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance Fully Insured/Risk HMO | $4.76 |
| Blue Cross Community MMAI/Dual Eligible | Blue Cross Community MMAI/Du | $9.63 |
| BCBS Medicare Advantage | BCBS Medicare Advantage | $10.35 |
| Aetna | Aetna Medicare Advantage | $10.35 |
| Health Alliance | Health Alliance Medicare Advantage PPO | $10.35 |
| Medicare | Medicare | $10.35 |
| Medicare Advantage - Hold | Medicare Advantage - Hold | $10.35 |
| Humana | Humana Medicare Advantage PPO | $10.87 |
| HealthLink | HealthLink EPO | $36.93 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $54.68 |
| Health Alliance | Health Alliance ACA | $77.76 |
| Current Health Network PPO | Current Health Network PPO | $109 |
| Aetna | Aetna PPO | $111 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $112 |
| Health Alliance | Health Alliance OA/PPO | $112 |
| Health Alliance | Health Alliance Coordinated Care Plan (CCP) | $126 |
| Cigna | Cigna PPO | $128 |
| Commercial Workers Compensation | Commercial Workers Compensation | $129 |
| Illinois Workers Compensation | Illinois Workers Compensation | $136 |
| HealthLink | HealthLink HMO | $139 |
| Health Alliance | Health Alliance Self Funded | $141 |
| 6 Degrees Health | 6 Degrees Health | $146 |
| Hst | Hst | $146 |
| HopeTrust | HopeTrust | $146 |
| Humana | Humana PPO | $146 |
| Magellan | Magellan PPO | $146 |
| HealthLink | HealthLink PPO | $153 |
| Consociate | Consociate PPO | $158 |
| Health Alliance | Health Alliance Gated PPO | $158 |
| HFN | HFN Platinum PPO | $158 |
Inpatient
$243cash price (self-pay)
$243list price
$97.20–$243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance ACA | $97.20 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $112 |
| PHCS/MultiPlan | PHCS Savility PPO | $131 |
| Health Alliance | Health Alliance Gated PPO | $134 |
| Health Alliance | Health Alliance Self Funded | $141 |
| 6 Degrees Health | 6 Degrees Health | $146 |
| HopeTrust | HopeTrust | $146 |
| Hst | Hst | $146 |
| Humana | Humana PPO | $146 |
| Magellan | Magellan PPO | $146 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $146 |
| HFN | HFN Platinum PPO | $158 |
| Hfn | Hfn PPO | $158 |
| Preferred Plan | Preferred Plan PPO | $182 |
| SOI McFarland | SOI McFarland PPO | $182 |
| SOI Rushville | SOI Rushville PPO | $182 |
| Methodist First Choice | Methodist First Choice PPO | $194 |
| Mutual Medical Plans | Mutual Medical Plans PPO | $207 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $243 |
| Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA | $243 |
| BCBS | Blue Cross Memorial Health System | $243 |
| Liability | Liability | $243 |
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